A Cost and Cost-Benefit Analysis of the Stand More AT Work (SMArT Work) Intervention.

Fehmidah Munir; Paul Miller; Stuart J H Biddle; Melanie J Davies; David W Dunstan; Dale W Esliger; Laura J Gray; Sophie E O'Connell; Ghazala Waheed; Thomas Yates; Charlotte L Edwardson
This study conducted a cost and cost-benefit analysis of the Stand More AT (SMArT) Work workplace intervention, designed to reduce sitting time. The study was a cluster two-armed randomised controlled trial involving 37 office clusters (146 desk-based workers) in a National Health Service Trust. The intervention group received a height-adjustable workstation with supporting behaviour change strategies. The control group continued with usual practice. Self-report absenteeism, presenteeism and work productivity were assessed at baseline, 3, 6 and 12 months; and organisational sickness absence records 12 months prior to, and 12 months of the intervention. Mean per employee costs associated with SMArT Work were calculated. Absenteeism, presenteeism and work productivity were estimated, and employer-recorded absence data and employee wage-banding were used to provide a human-capital-based estimate of costs to the organisation. The return-on-investment (ROI) and incremental cost-efficacy ratios (ICER) were calculated. Intervention cost was £692.40 per employee. Cost-benefit estimates show a net saving of £1770.32 (95%CI £-354.40, £3895.04) per employee as a result of productivity increase. There were no significant differences in absence data compared to the control group. SMArT Work provides supporting evidence for policy-makers and employers on the cost benefits of reducing sitting time at work.
ISSN 1660-4601
Published 13 Feb 2020
Volume 17
Issue 4
DOI 10.3390/ijerph17041214
Type Journal Article